Individual provider · Type 1 NPI

Ethan Gentile

Substance Abuse Rehabilitation Facility · Long Beach, CA

NPI number 1669900130 Active

Practice location

6621 E Pacific Coast Hwy
Long Beach, CA 90803-4200

Call (562) 270-6344 Map

Mailing address

2255 W Broadway Apt G102
Anaheim, CA 92804-1369

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1669900130

Ethan Gentile's National Provider Identifier is 1669900130, issued on May 30, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Long Beach, CA. The record was last updated on May 30, 2017.